Provider Demographics
NPI:1386713329
Name:RAHIMI, RAFIQUDDIN SYED (MD)
Entity type:Individual
Prefix:
First Name:RAFIQUDDIN
Middle Name:SYED
Last Name:RAHIMI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4117 TABERNASH RD
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75082-2532
Mailing Address - Country:US
Mailing Address - Phone:773-527-9692
Mailing Address - Fax:214-602-6279
Practice Address - Street 1:3025 E. RENNER RD
Practice Address - Street 2:SUITE 120
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75082-3581
Practice Address - Country:US
Practice Address - Phone:972-907-1140
Practice Address - Fax:214-261-2266
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2018-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN5346207K00000X, 207R00000X
LA201076207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology